KIMBERLY TILLMAN FAULK AGACNP-BC
NPI 1467053629
Nurse Practitioner - Acute Care in Fort Sam Houston, TX
About Kimberly Tillman Faulk Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY TILLMAN FAULK AGACNP-BC (NPI 1467053629) is an individual acute care provider in Fort Sam Houston, Texas, licensed in Georgia (APRN-NP244612) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Tillman Faulk Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Faulk's NPI number?
The NPI number for Kimberly Faulk is 1467053629. It was assigned to this individual provider in the NPPES registry on November 4, 2020.
Where is Kimberly Faulk located?
Kimberly Faulk practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (229) 269-3312.
What is Kimberly Faulk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kimberly Faulk enrolled in Medicare?
Yes. Kimberly Faulk is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kimberly Faulk was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kimberly Tillman Faulk, AGACNP-BC · NPI 1467053629
Acute Care physician in Fort Sam Houston, Texas. Individual provider, active in the CMS NPPES registry since November 4, 2020.
## Identity
- **NPI:** 1467053629 (Entity type: Individual)
- **Enumerated:** November 4, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN-NP244612 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234-4504
- **Phone:** (229) 269-3312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467053629) · Data from the CMS NPPES public registry.